Sen. Dean Heller Is the First Moderate "No" on Trumpcare

As he has multiple times since the ACA's passage in 2010, Obama conceded that the bill was less than ideal and vowed to support any Republican-backed bill that "is demonstrably better than the improvements we made to our health care system, that covers as many people at less cost". Look forward to making it really special!

Republicans in the U.S. Senate on Thursday unveiled a bill that would dramatically transform the nation's Medicaid program, make significant changes to the federal health law's tax credits that help lower-income people buy insurance and allow states to water down changes to some of the law's coverage guarantees.

It takes hundreds of billions of dollars now allocated to care for the working poor, women, children and elderly, and gives it to rich Americans in the form of a huge tax break. That means Republicans can only afford two defections for the legislation to pass.

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Nevada Republican Dean Heller didn't mince words about the GOP's new health care bill in the Senate: "It's going to be very hard to get me to a yes".

Under Obamacare, the federal government had guaranteed that its funding for adults newly eligible for Medicaid because of the Affordable Care Act would fall to no lower than 90 percent of their costs.

"Let me assure you, leadership knows well how I feel", Heller said, while also bashing the long-term cuts in the Senate bill to the traditional Medicaid program.

Speaking at Bellevue Hospital Center in Manhattan, the New York Democrat said the draft that his Republican colleagues released after weeks of secret deliberations is "devastating for America and even more devastating for New York".

The Senate bill would make the payments through 2019, but then cut them off. The House already passed its version of a repeal-and-replace bill last month.

The lobbying group is waiting to see the analysis of the bill's impact on spending and insurance coverage from the nonpartisan Congressional Budget Office, expected next week.

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